Insurance Claims Coordinator jobs in Sioux Falls, SD

Insurance Claims Coordinator is responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims for an organization. Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims. Being an Insurance Claims Coordinator reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution. Typically requires an associate degree or its equivalent. Additionally, Insurance Claims Coordinator typically reports to a manager. The Insurance Claims Coordinator gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. To be an Insurance Claims Coordinator typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Insurance Claims Specialist
  • Prairie Lakes Healthcare System
  • Watertown, SD FULL_TIME
  • Insurance Claims Specialist
    Workplace Details
    Join our team and see why Prairie Lakes Healthcare System continues to be named a Top Rural and Community Hospital year after year. Be a part of our mission to make a positive difference in the health of the patients and communities we serve by delivering accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an independent, non-profit rural healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota.
    Job Summary
    This Full-Time on-site position performs the submission and follow-up of insurance claims for all service lines. Ensures billing procedures are followed to maximize cash and minimize accounts receivable.
    Responsibilities include:
    • Completes all edits to ensure claim submissions are compliant with federal and state regulations.
    • Performs follow-up on insurance claims to obtain maximum payment in a timely manner.
    • Administers timely and accurate billing and payment of all service lines
    • Processes all secondary claims to seek reimbursement following primary insurance payment.
    • Researches and resolves requests from insurance companies, patients, and third-party payors.
    • Resolves billing problems and assists interdepartmentally with billing issues.
    • Assists co-workers with problem resolution and team projects to decrease accounts receivable.
    • Works with the patient account specialists on private pay accounts.
    • Assists patients with insurance-related questions and problems.
    • Completes monthly billing of reoccurring accounts (i.e. kidney dialysis, radiation, chemotherapy, home health, hospice, and physician).
    • Other duties may be assigned.
    Benefits
    Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.
    Additional benefits for those qualifying include:
    • Flexible Spending Account
    • Roth IRA retirement plan
    • Employee Assistance Program for mental health
    • Education Loan Program
    • Community discounts including the Prairie Lakes Wellness Center
    Qualifications
    High school diploma or general education degree (GED); or equivalent combination of education and experience. One year prior medical or general office experience is preferred. Previous billing and computer experience is desirable.
    Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
  • 15 Days Ago

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Insurance Claims Specialist -Primary Care
  • Prairie Lakes Healthcare System
  • Watertown, SD FULL_TIME
  • Insurance Specialist Job Summary Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an indepen...
  • 21 Days Ago

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Claims Adjuster (Sioux Falls , South Dakota)
  • American Farm Bureau Insurance Services, Inc.
  • Sioux Falls, SD FULL_TIME
  • TITLE: Claims Adjuster DEPARTMENT: Claims LOCATION: This position is remote, but the candidate must be willing to travel to and through South Dakota. POSITION OBJECTIVE: Perform loss adjustment, pre-a...
  • 26 Days Ago

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Independent Insurance Claims Adjuster in Mitchell, South Dakota
  • MileHigh Adjusters Houston Inc
  • Mitchell, SD FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 8 Days Ago

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Independent Insurance Claims Adjuster in Watertown, South Dakota
  • MileHigh Adjusters Houston Inc
  • Watertown, SD FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 8 Days Ago

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Independent Insurance Claims Adjuster in Huron, South Dakota
  • MileHigh Adjusters Houston Inc
  • Huron, SD FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 8 Days Ago

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0 Insurance Claims Coordinator jobs found in Sioux Falls, SD area

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Patient Access Representative | Cardiology | 40hrs/week
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 4/25/2024 12:00:00 AM

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Human Resources Manager
  • ALCOM LLC
  • Sioux Falls, SD
  • POSITION: Human Resources Manager STATUS: Exempt (salary) REPORTS TO: Chief People Officer (CPO) DATE: April 2024 DIRECT...
  • 4/24/2024 12:00:00 AM

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Patient Access Representative | MB2 Pediatrics | 35hrs/week
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 4/24/2024 12:00:00 AM

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Senior Reimbursement Analyst - Healthcare
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 4/24/2024 12:00:00 AM

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Patient Access Representative | Float | 40hrs/week
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 4/24/2024 12:00:00 AM

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Credit Balance Representative
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 4/22/2024 12:00:00 AM

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Personal Lines Associate Account Manager
  • World Insurance Associates LLC
  • Sioux Falls, SD
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 4/21/2024 12:00:00 AM

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Commercial Lines Associate Account Manager
  • World Insurance Associates LLC
  • Sioux Falls, SD
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 4/20/2024 12:00:00 AM

Sioux Falls (/ˌsuː ˈfɔːlz/) (Lakota: Íŋyaŋ Okábleča Otȟúŋwahe; "Stone Shatter City") is the most populous city in the U.S. state of South Dakota and the 143rd-most populous city in the United States. It is the county seat of Minnehaha County and also extends into Lincoln County to the south, proximate with the Minnesota state line. It is the 47th-fastest-growing city in the United States and the fastest-growing metro area in South Dakota, with a population increase of 22% between 2000 and 2010. As of 2019, Sioux Falls had an estimated population of 187,200. The metropolitan population of 259,0...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Claims Coordinator jobs
$44,878 to $68,146
Sioux Falls, South Dakota area prices
were up 0.8% from a year ago

Insurance Claims Coordinator in Wilmington, DE
Based on our compensation data, the estimated salary potential for Insurance Claims Coordinator will increase 16 % over 5 years.
December 22, 2019
Insurance Claims Coordinator in New Orleans, LA
Resource Solutions are recruiting for two Claim Technicians to work for a insurance provider in their office in Chelmsford.
February 10, 2020
Insurance Claims Coordinator in Bellingham, WA
This individual will review all claims and make coverage decision.
January 31, 2020